Provider Demographics
NPI:1063791473
Name:TRAIN IN SYNC LLC
Entity type:Organization
Organization Name:TRAIN IN SYNC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:CPS, MED, QMHP-CS
Authorized Official - Phone:512-632-5665
Mailing Address - Street 1:1213 RAMBLING TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4219
Mailing Address - Country:US
Mailing Address - Phone:512-632-5665
Mailing Address - Fax:512-401-3413
Practice Address - Street 1:1213 RAMBLING TRL
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4219
Practice Address - Country:US
Practice Address - Phone:512-632-5665
Practice Address - Fax:512-401-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQMHP-CS, DSHS101YP2500X
TX19592346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty